Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Facility		$87.10	$87.10	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $18.20 / $25.12	Professional		$15.14	$18.20	$25.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $15.85 / $15.85	Facility		$15.85	$15.85	$15.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $18.20 / $60.26	Professional		$14.13	$18.20	$60.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $15.85 / $15.85	Facility		$15.85	$15.85	$15.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
United Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $9.33	Facility		$0.02	$0.02	$9.33
United Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $26.30 / $52.48	Professional		$24.55	$26.30	$52.48